The Transition Of The Role Of Localism In France

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The concept of localism comprises a reorientation in medical theory and practice. Practitioners began to replace the holistic emphasis on the humoral balance of bodily fluids in relation to lifestyle with a focus on pathological aetiology. The basis of this shift to ‘scientific medicine’ is critically underpinned by important political and socioeconomic changes occurring at this time. The resulting improvements in the understanding and treatment of illnesses were mirrored by a shift in the balance of power between patient and practitioner. Localism was the mechanism which enabled these advances and is therefore of fundamental importance in understanding the history of medicine.
The ideological changes occurring in Britain during the first …show more content…

The former refers to the holistic nature of illness before the nineteenth century where the patient’s condition was viewed in a wider context in relation to their lifestyle and diet. Sociologist Nicholas Jewson highlighted how therapeutic practices reflected this approach; for example, blood-letting was used to eradicate fluids from the body and restore an equilibrium. The 1789 French revolution also provided a basis for the concept of localism in Paris. It led to the abolition of old university structures and was replaced by a new school of health, the L’Ecole de Santé. Medical training therefore reflected the concept of localism whereby disease was analysed as the dysfunction of the organs and cells. The shift to localised ‘hospital medicine’ therefore transformed the perception of illnesses in the nineteenth …show more content…

The stethoscope, for example, was invented by René Théophile Hyacinthe Laennec (1781-1826) who was one of the first students to study at the Paris School of Medicine. He discovered that by listening through a wooden tube, respiratory sounds and the heartbeat were amplified. Through his invention, Laennec was able to provide a detailed pathological account of pulmonary tuberculosis focusing on the physical changes underneath the skin, as opposed to the patient’s lifestyle and diet as a whole. The value of clinical observation was therefore introduced by the concept of localism and allowed physicians to concentrate on the local causes, rather than the generic causes, of

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